HESI PN EXIT 130 QUESTIONS 1-32 EXAM QUESTIONS AND ANSWERS

HESI PN EXIT 130 QUESTIONS 1-32
EXAM QUESTIONS AND ANSWERS
A client receives a prescription for diphenhydramine 12.5 mg PO for rhinitis. The m
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edication is available in 25 mg scored tablets. How many tablets should the practic
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al nurse administer?
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(Enter numeric value only. If rounding is required, round to the nearest tenth). -
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ANSWERS--0.5
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The practical nurse (PN) is caring for an older client who is receiving chemotherap
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y for lung cancer. Which finding is the highest priority for the PN to report to the ch
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arge nurse? vb


Reference ranges: vb


Blood urea nitrogen (BUN): [Adult: 10 to 20 mg/dL or 3.6 to 7.1 mmol/L]
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Platelets: [150,000 to 400,000/mm3 or 150 to 400 x 1019/L] - ANSWERS--
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Blood urea nitrogen 75 mg/dL or 12.9
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mmol/L

The practical nurse (PN) assists a client to a supine position. What should the PN
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use to prevent external rotation of the client's hips? - ANSWERS--Trochanter rolls.
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The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turnin
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g an older client who had a hip arthroplasty with prosthesis placement four hours a
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go. Which observation by the PN indicates that the UAPs need additional informati
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on about the turning procedure? - ANSWERS--
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The client is told to keep both legs straight and together while turning.
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Prior to an invasive examination of a hospitalized client, a consent form should be
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obtained. Which action best describes the responsibility of the practical nurse (PN)
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? - ANSWERS--
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Checks the medical record for the correct signed consent form prior to the examin
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ation.

The practical nurse (PN) is caring for a client with coronary artery disease who is
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admitted with intermittent chest pain. The admission laboratory results indicate elev
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ations in troponin I and creatine phosphokinase myoglobin isoenzyme (CK-
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MB) levels. vb


What should the PN consider the most significant risk for this client on the second
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day of admission? - ANSWERS--
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The lab results indicate myocardial damage, and the client is at risk for cardiac dys
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rhythmias

The practical nurse (PN) is caring for a client with fractured metatarsals after slam
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ming a hand in the car door.
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After administering the prescribed hydrocodone /
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acetaminophen for pain, which intervention should the PN include in the client's ca
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, re? - ANSWERS--
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Implement ongoing assessments for signs of shallow or slow breathing.
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A mother asks the practical nurse (PN) about the immunization schedule for whoo
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ping cough. Which is the recommended schedule that the PN should convey? -
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ANSWERS--
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2.4.6 months, and boosters at 15 to 18 months and 4 to 6 years of age.
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The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's
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room and find the client lying on the bed. The PN determines that the client is
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unresponsive. Which instruction should the PN give the UAP first? - ANSWERS--
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Obtain emergency help. vb vb




The practical nurse (PN) prepares to suction a client's tracheostomy as seen in the
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video. What should the PN do next?
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(Please view the video to select the option that applies. To repeat the video, click
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the play button again.) - ANSWERS--Insert the catheter into the tracheostomy
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A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically.
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The parent tells the practical nurse (PN) that the child screams in pain even with a
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light touch. The child is short of breath and anxious. Which manifestations warrant
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immediate intervention by the PN? - ANSWERS--
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Pulse oximetry of 88% O2 saturation.
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A client receives ondansetron prior to a chemotherapy treatment. How should the
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practical nurse evaluate the effectiveness of the medication? - ANSWERS--
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Monitor the client for nausea or vomiting following the treatment.
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Which client finding should the practical nurse (PN) report to the registered nurse (
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RN) immediately? - ANSWERS--Coffee-
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ground secretions draining via nasogastric tube suction.
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A client reports experiencing numbness and tingling in the extremities. Which of th
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e client's serum laboratory values should the practical nurse (PN) prioritize reportin
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g to the healthcare provider? - ANSWERS--Electrolytes
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The single mother of a child with a head injury is sitting at the child's bedside cryin
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g when the practical nurse (PN) enters the room. The mother states,
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"Why did this happen to my child?
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I just can't cope with this." How should the PN respond? - ANSWERS--
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Determine if someone else can help her cope with this tragedy.
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The practical nurse (PN) is checking residual volume prior to the administration of
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a bolus feeding to a client with a percutaneous endoscopic gastrostomy (PEG) tub
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e when the unlicensed assistive personnel (UAP) reports that another client has re
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quested pain medication for postoperative pain. Which action should the PN take?
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- ANSWERS--
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Have the UAP notify the client in pain that the PN will be in to check on the client
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after completing the procedure in progress.
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